- Geisinger (Wilkes-Barre, PA)
- Job Title: RN - Graduate Registered Nurse (Geisinger Wyoming Valley, Wilkes-Barre)Location: Wilkes-Barre, PennsylvaniaJob Category: Inpatient RN - ... Program - occurs during your entire first year as a GN!Job Description:The Registered Nurse assesses plans, organizes, performs, and evaluates nursing activities… more
- Geisinger (Danville, PA)
- Job Title: RN - Registered Nurse - Hospital Case ManagerLocation: Danville, PennsylvaniaJob Category: RN - Registered Nurse , Nursing and Nursing ... rotation. In-house holiday rotation.At least two (2) years of RN work experience is required. Registered Nurse...results for assigned population.Works to appropriately apply benefits and utilization management serving as a resource to… more
- Ciena Health Care Management (Cincinnati, OH)
- …with the American Association of Nursing Assessment Coordinators (AANAC) requirements. Qualifications: Registered Nurse ( RN ) or Licensed Practical Nurse ... values communication and strong teamwork abilities. Responsibilities: The Care Management Nurse , MDS Nurse works...PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management… more
- Christus Health (Irving, TX)
- …or demonstrated success in CHRISTUS RN Care Manager I position.Case management and Utilization Review experience preferred. Licenses, Registrations, or ... analytical thinking skills.Demonstrated clinical competency.Working knowledge of discharge planning, utilization management , case management , performance… more
- Christus Health (Houston, TX)
- …managerial problems/issues, demonstrates professional accountability for competency and growth. The Registered Nurse Clinical Supervisor assists the DON in some ... Nurses on clinic days, and on the floor. The Registered Nurse Clinical Supervisor is expected to...of gerontology, the care of women religious and nursing management through literature review and attendance at… more
- Ciena Health Care Management (Defiance, OH)
- …with the American Association of Nursing Assessment Coordinators (AANAC) requirements. Qualifications: Registered Nurse , RN AANC certification a plus. RAC-CT ... values communication and strong teamwork abilities. Responsibilities: The Care Management Nurse , MDS Nurse works...PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management… more
- buyer (Warminster, PA)
- …clinical leadership meetings such as Wound Rounds, Clinical Operations Meeting, Utilization Review , and Performance Improvement/Risk Management /Safety ... unit (skilled nursing, long term care, assisted living or hospital) is required.Current Registered Nurse license for the state in which they operate. Current… more
- jobvibe (West Richland, WA)
- Registered Nurse ( RN ), House SupervisorJob Type: PRN | NightsWage scale: $46.93 - $65.70 per hour Your experience mattersAt Lourdes Health, we are driven by ... as an employee, but as a person. As a registered nurse ( RN ) joining our...an environment that encourages professional growth. Initiates weekend case management , Utilization review screening, assists… more
- University Health (San Antonio, TX)
- …Three years recent, full-time hospital experience preferred. Work experience in case management , utilization review or hospital quality assurance experience ... Graduation from an accredited school of nursing with current RN licensure in the State of Texas, BSN preferred....of the State of Texas to practice as a registered nurse is required. National certification in… more
- jobvibe (Scranton, PA)
- Job Title: RN - Graduate Registered Nurse (Geisinger Community Medical Center, Scranton)Location: Scranton, PennsylvaniaJob Category: Inpatient RN - ... and License(s)Basic Life Support Certification - Default Issuing Body; Licensed Registered Nurse (Pennsylvania) - RN_State of PennsylvaniaOur Purpose &… more
- HireMaster (Maryville, TN)
- …care and timely implementation of plan of care in accordance with hospital(s) Utilization Review Plan. Navigates the team through complex compliance, regulatory ... N or Nursing Diploma.Required Certifications, Registrations, LicensesLicensed to practice as a Registered Nurse in South CarolinaAccredited Case Manager (ACM) or… more
- jobvibe (Athol, MA)
- Prime Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Athol, Massachusetts.Job Description & RequirementsSpecialty: Case ... RN LicenseCertifications: BLS - AHAMust-Have: Strong assessment, discharge planning, and utilization review skills Description: The RN Case Manager… more
- Health eCareers (Fredericksburg, VA)
- …Quality/Performance Improvement/Peer Review , Utilization /Case Management , Quality Management , or Risk Management .Valid RN License from Virginia ... Commission, CMS, licensure and other regulatory requirements pertaining to peer review and quality management .Requires basic computer skills including mouse… more
- Health eCareers (Fredericksburg, VA)
- …team and provides guidance and mentorship to colleagues.Performs other duties as assigned.Qualifications: Registered Nurse ( RN ) with an active, unencumbered ... surveys, and compliance reviews related to physician performance and peer review activities.Collaborates with risk management , medical staff services, and… more
- jobvibe (Alameda, CA)
- Prime Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Alameda, California.Job Description & RequirementsSpecialty: Case ... RN LicenseCertifications: BLS - AHAMust-Have: Strong assessment, discharge planning, and utilization review skills Description: The RN Case Manager… more
- buyer (Highlands Ranch, CO)
- …, weight loss, and dehydration.Participating in Wound Rounds, Operations Meetings, Utilization Review , and Performance Improvement/Risk Management /Safety ... 8% annual bonus earning potential. Salary based on experience*What you will need Current RN nursing license with no restrictions for the state in which they operate.… more
- Monster (Allentown, PA)
- …care hospital setting required. Prefer minimum of 2-5 years' experience in case management and/or utilization management . Prefer financial experience related ... regardless of a patient's ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party denials for medical necessity and… more
- Christus Health (Beaumont, TX)
- …initiates referrals as indicated. This work includes patient assessment and management , resource management , identifying patients appropriate for admission, ... of Leaders.Uses approved criteria to conduct patient assessment and admission clinical review to ensure the appropriateness of setting and timely implementation of… more
- Monster (Boston, MA)
- …organization on issues of patient care, clinical quality, compliance, customer service, utilization management , care management , patient access, system ... at least 3 years of primary care experience as a registered nurse . Must have at least 3 years of nurse management experience. Must be willing to travel… more
- Beth Israel Lahey Health (Plymouth, MA)
- …a job, you're making a difference in people's lives.** Full Time **Job Description:** ** Utilization Review & Denials management manager - Full Time** **Who ... and Barnstable counties. Our Nutrition Services Team consists of registered and licensed dietitians who provide expert nutritional interventions...and Serve Your Community!** **In your role as a Utilization Review & Denials Management … more
